DocNation

🌍✈️ Back lately from an incredible journey! #eurotrip ✨ Ticked off some top spots of the #VisitRwanda partners ,the likes of @psg and now the legendary @fcbayern (it can’t be councidence 😅). From breathtaking landscapes to lively markets, Rwanda truly has it all! 📸🎉 spilled the beans about Rwanda to my euro amigos for all the beautiful Places 🦍🦜🦓hope i convinced them enough to visit 😅! Note : this is a personal reflection not affiliated with mentioned partners. #visitrwanda 🇷🇼 #PSG #fcbayern #harrykanefanpage

I sorta had a tiny little hunch this crew would gel brilliant during the mission when @Astro_Christina started mocking my weekly updates during training. This one from @NASAKennedy back in December 😂

#EHRA26 Check out the summary for BEAT PERS AF, a randomised comparison of PFA vs RFA 👇

#EHRA26 Explore the animation comparing left bundle branch area pacing and biventricular pacing for CRT 👇

During CAG, if you see coronary collaterals to the lungs suspect CTEPH as the cause for effort dyspnoea in patients with very poor echo window where echo evaluation might have been improper. Pre CAG X-ray may give enough clue for it.

Pump. Stepback. GAME. 😤 Tigers remain perfect on the season after a clutch finish in @theBAL!

Answer: D. At least 45 days After implantation of the WATCHMAN device using femoral vein access and transseptal catheterization, anticoagulation with warfarin is recommended for at least 45 days, at which time anticoagulation can be discontinued if there is no TEE evidence of peridevice flow. Reference: Braunwald’s Heart Disease, Textbook of Cardiovascular Medicine Additional insight: Recent evidence from the New England Journal of Medicine comparing left atrial appendage closure with physician-directed medical therapy in high-risk atrial fibrillation patients showed: ⚫LAA closure did not achieve noninferiority compared with optimal medical therapy (including DOACs) ⚫The composite outcome (stroke, systemic embolism, major bleeding, or cardiovascular death) was not significantly better with device therapy ⚫Adverse events were slightly higher in the device group ⚫These findings reinforce that optimal medical therapy remains a strong standard, and LAA closure should be selectively used, especially when anticoagulation is not feasible nejm.org/doi/full/10.10…

Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.10… Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.10…

> 600,000 left atrial appendage devices have been placed NOT NONINFERIOR 👇🏻 Trial is large, nonindustry funded and done in experienced centers in Germany Endpoint had both efficacy and safety components and still did not make non-inferiority I tried to tell you all

@GaindeYi Nah 😂🔥… winning finals on paper now? Keep it. Senegal don’t do imaginary trophies real champions prove it on the pitch 💪🇸🇳

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@CAF_Media Nah 😂🔥… winning finals on paper now? Keep it. Senegal don’t do imaginary trophies real champions proved it on the pitch 💪🇸🇳

The CAF Appeal Board decided that in application of Article 84 of the Regulations of the CAF Africa Cup of Nations (AFCON), the Senegal National Team is declared to have forfeited the Final Match of the TotalEnergies CAF Africa Cup of Nations (AFCON) Morocco 2025 (“the Match”), with the result of the Match being recorded as 3–0 in favour of the Fédération Royale Marocaine de Football (FRMF). cafonline.com/news/caf-appea…

@SkySportsNews Nah 😂🔥… winning finals on paper now? Keep it. Senegal don’t do imaginary trophies real champions prove it on the pitch 💪🇸🇳

BREAKING: Morocco have been crowned Africa Cup of Nations winners after a major ruling today overturned Senegal’s victory in the final 🚨

For a patient with hypertension, would you recommend a systolic blood-pressure target of less than 120 mm Hg and or a target of less than 140 mm Hg? Vote on the best option: nejm.org/doi/full/10.10…

Do you remember when you joined X? I do! #MyXAnniversary

@Irina67790690 There is also Pulmonary insufficiency

A Large ASD. 16 y.o. Short-axis view.

Needle manipulation using the surgical field and the DeBakey dissection clamp 💥⤵️🔪! How to do it! To perform forward and backward stitching! @pferrada1 @SWexner @AmCollSurgeons @BJSAcademy @CiruAndes2

Lewis Hamilton says he doesn't want to retire from Formula 1 until he can race in a grand prix in Africa 🌍

Ouch. Clot migration. No Bueno

Do you jail the side branch wire during bifurcation left main PCI? Sometimes I do but I’ve also run into this… 😡 “endotrash” I’m going to discuss this more @CRT_meeting #CRT2026 Tuesday 10:45am “Left Main PCI- How to Decide?” #CardioX #Cardiology #LeftMain @RadialFirstBot @BotPci

Functional TR is usually not a leaflet disease it’s a disease of the annulus and the RV. RV overload → tricuspid annulus dilation (mainly anterior & posterior) → loss of leaflet coaptation → TR. Ring annuloplasty restores annular geometry and re-establishes leaflet coaptation. Fix the annulus, restore the valve. scienceopen.com/hosted-documen…

Amazing visualization of the heart’s valves in action 📸: smartdoctor